FDA Adverse Event Injury Summary report: N

RESONATE EL ICD VR

MDR report key: 23174194 · Received September 29, 2025

Report

Report Number
2124215-2025-68638
Event Type
Injury
Date Received
September 29, 2025
Date of Event
July 30, 2025
Report Date
September 29, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWS
PMA / PMN Number
P960040/S385
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WERE CONCERNS THIS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) DELIVERED INAPPROPRIATE ANTI-TACHYCARDIA PACING (ATP) TO THE PATIENT. THERE WERE CONCERNS THERE WERE SENSING ISSUES. X-RAY IMAGING WAS PERFORMED. TECHNICAL SERVICES (TS) IS TO REVIEW THE REPORTS. THE DEVICE REMAINS IN USE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION RECEIVED INDICATES THE SENSING ISSUES WERE OVERSENSING OF ATRIAL SIGNALS ON THE VENTRICULAR CHANNEL. ADDITIONALLY, THE HEALTH CARE PROFESSIONAL (HCP) IS PLANNING ON REPROGRAMMING THE DEVICE AND PROVIDING THE PATIENT WITH MEDICATION TO SLOW DOWN THEIR INTRINSIC ATRIAL RHYTHM. TS REVIEWED THE REPORTS AND PROVIDED TROUBLESHOOTING ACTIONS. THE DEVICE REMAINS IN USE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1409361 RESONATE EL ICD VR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR LWS BOSTON SCIENTIFIC CORPORATION D432 342307

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown